With the health reform bill finally enacted, stakeholders on all sides of
the health care industry are turning their attention to how the law will
actually be implemented ó and what impact the changes will have on them.
In Health Reformís Impact on Commercial and Medicare Health
Plans, insiders close to HHS and in leadership positions at health
plans, provider organizations and PBMs spell out what form the rules might
take ó and who will be the winners and losers.
This report highlights administrative chal≠lenges posed by the reform law,
and delves into the likely impact of the act on coverage, benefit designs,
medical costs and pharmacy benefits. It also outlines how successful
Medicare plans are preparing now for the plan payment provisions affecting
service areas, provider contracting, care management strategies and
Hierarchical Condition Category (HCC) coding that take effect in 2012.
2010 and 2011 deadlines are right around the corner, despite there being
little concrete detail on how provisions such as medical loss ratio
requirements, the essential ben≠efits package or the exchange will work
Health Reformís Impact on Commercial and Medicare Health Plans
addresses practical steps health insurers are taking to prepare for
the radical changes ahead. Order your copy today by contacting HIN
at 888-446-3530 or by visiting:
Please feel free to contact our customer service department at 888-446-3530
with any questions you may have.
Executive Vice President
The Healthcare Intelligence Network
800 State Highway 71
Sea Girt, NJ 08750